MEDICARE: UNIVERSITY OF ROCHESTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
2	332BX2000X	Oxygen Equipment & Supplies (DME)
3	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1801410683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF ROCHESTER

Provider Business Mailing Address
First Line	:	155 BELLWOOD DR
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14606-4226
Country	:	US
Telephone Number	:	585-274-3036
Fax Number	:

Provider Business Practice Location Address
First Line	:	1815 S CLINTON AVE STE 400
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14618-5719
Country	:	US
Telephone Number	:	585-276-4663
Fax Number	:

Authorized Official
Title or Position	:	ASSOCIATE DIRECTOR
Name	:	TIMOTHY J WARNER
Credential	:	RPH
Telephone Number	:	585-274-3036

Provider Enumeration Date	:	06/08/2020
Last Update Date	:	12/14/2020

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Directions to “UNIVERSITY OF ROCHESTER ” Practice Location

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